Offsite Surgical House Coverage (NP or PA)

Beth Israel Deaconess Hospital Needham, Inc.; Needham (MA); Remote; USD 77,000 - 127,000; Full time

Job summary

Beth Israel Deaconess Hospital Needham, Inc. is seeking an Advanced Practice Provider for night on-call coverage in the Surgical Department. Shifts run from 7p to 7a, with some reports required for urgent concerns or triage limitations.

The APP serves as a key clinician in pre, peri, and post-operative care under the supervision of surgery attendings. The role includes initial patient assessment, admission, intraoperative assistance, postoperative care, and discharge planning for BID-Needham

Qualifications

• Eligible for Nurse Practitioner licensure in MA.
• Licensure and certifications required for surgical APP.
• Experience in post-graduate surgical APP roles is preferred.

Responsibilities

• Perform focused H&P exams for ED/Observation surgical patients.
• Navigate tests and labs to support diagnosis and plan.
• Educate patients on disease, treatments, and risks.
• Assist in OR as first/second assistant when needed.
• Manage orders with attending physician coordination.

Skills

Clinical decision making

Team collaboration

Patient assessment

Clinical documentation

Education

Bachelor's degree in Nurse Practitioner

Nurse Practitioner License

BLS Certification

ACLS Certification

PA license (MA)

RNFA certification (NP)

Tools

EMR systems

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

The Advanced Practice Provider (APP) provides night remote on call coverage for Surgical House Patients from 7p to 7a, shifts available Monday thru Sunday. Occasional need to report in when patient care concern cannot be triaged remotely or urgent consult required. Looking for candidates who are willing to commit to 12, 24, 36, 48 hour schedule. The Advanced Practice Provider (APP) serves as a key clinical provider and team member in the treatment and management of the surgical patient in the pre, peri and post-operative setting. This role practices under the direction of the Chief of Surgery and other attending surgeons in a manner consistent with both the Board(s) regulations and hospital policy. Primarily, the APP will cover patients of BID-Needham physicians credentialed in the Department of Surgery. The APP is responsible for the initial assessment and admission of patients; assisting in the evaluation and preparation of patients for surgery; acting as first and second assistant in the operating room; and caring for patients following surgery and helping prepare patients for discharge.

Job Description

Essential Responsibilities

• Performs comprehensive focused history & physical exams on surgical patients admitted through the ED & those held for Observation, initiates appropriate lab, radiology & other tests required for evaluation of illness, and scrutinizes data on patients and hospital admissions to establish a record of the patient's health status & to develop a diagnosis & treatment plan, with direct review by an MD.
• Performs and interprets, at least to the point of recognizing deviations from normal, common laboratory, radiologic, cardiographic and other routine diagnostic procedures used to identify pathophysiologic processes, as privileged.
• Interprets and correlates subjective and objective data to formulate a differential diagnosis and establishes a working diagnosis Formulates a treatment plan for medical problems within scope of practice.
• Writes initial orders in coordination with the attending physician.
• Implements therapeutic intervention for specific conditions, when appropriate.
• Educates patients regarding their disease, treatments, related drug and treatment side effects and hazards Exercises judgment on problems requiring consultation, referral, or evaluation by the supervising surgeon or other health care professionals.
• Performs routine procedures, managing simple conditions produced by infection or trauma, assisting in the management of more complex illness and injury which may include assisting surgeons in conducting operations and taking initiative in performing evaluation and therapeutic procedures in response to life-threatening situations, as privileged.
• Performs specialized procedures, including suturing/stapling of major lacerations, wound debridement, blood draws, designated IV starts, central venous line placement, arterial line placement, venous cut downs, foley catheter insertion +/- bladder irrigation, as well as other specific procedures in the Emergency Department and on the inpatient units, with the approved delineation of privileges.
• Handles a broad variety of surgical specialty and subspecialty procedures.
• Participates in on all in-house surgical patients as required, upon arrival for duty and responds to all Codes.
• Assists Emergency Department physicians in cases of surgical consultation in the Emergency Department within the APP's scope of practice.

Required Qualifications

• Bachelor's degree in Nurse Practitioner required.
• Registration Nurse Practitioner License required.
• Certificate 1 Basic Life Support required.
• Certificate 2 Advanced Cardiac Life Support required.
• or a Physician Assistant licensed by the MA Board of Physician Assistants which requires candidates to have passed the National Commission on Certification of PA examination.
• 0-1 years related work experience required in post graduate experience as a surgical APP (min 1 year required).
• Nurse Practitioner candidates must also have RNFA certification.
• Demonstrated analytical abilities and strong interpretative skills for integrating information from the patient history, physical exam and diagnostic data to be able to formulate a differential diagnosis and subsequent treatment plan for patients in both elective and emergent situations.
• Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.

Competencies

• Decision Making: Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.
• Problem Solving: Ability to address problems that are highly varied, complex and often non-recurring, requiring staff input, innovative, creative, and Lean diagnostic techniques to resolve issues.
• Independence of Action: Ability to set goals and determines how to accomplish defined results with some guidelines. Manager/Director provides broad guidance and overall direction.
• Written Communications: Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.
• Oral Communications: Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.
• Knowledge: Ability to demonstrate in-depth knowledge of concepts, practices and policies with the ability to use them in complex varied situations.
• Team Work: Ability to act as a team leader for small projects or work groups, creating a collaborative and respectful team environment and improving workflows. Results may impact the operations of one or more departments.
• Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.

Age based Competencies

Employees in this job must be competent to provide patient care to the following age groups: Neonatal:Birth to 6 months, Youth: 6 months to 16 years, Young adult: 16-30 years, Middle Age: 30 - 60 years, Elderly: 60 -.

Physical Nature of the Job

Heavy work: Exerting up to 100 pounds of force occasionally and/or 50 pounds of force frequently. Work is physically demanding and requires extended periods of standing and/or moving.

Pay Range

Pay Range: $56.25 - $91.83 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities.

Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled At Beth Israel Lahey Health, we are driving the change in health care that Massachusetts wants and needs. Our culture promotes continuous learning, growth, innovation and a sense of belonging. We make it a priority to offer comprehensive compensation and benefits and help you achieve a healthy and balanced life. While you're busy caring for and supporting our patients, we take care of you.